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#343 of 11K

78815

PET imaging for limited area

PET imaging for limited area is the #343 most-billed Medicaid procedure code, with $387.2M in payments across 807K claims from 2018–2024. The national median cost per claim is $325.10. Costs vary widely — the 90th percentile is $1,042.53 per claim, 3.2× the median.

Total Paid

$387.2M

0.04% of all spending

Total Claims

807K

Providers

1K

Avg Cost/Claim

$480

National Cost Distribution

How much do providers bill per claim for 78815? Based on 1K providers billing this code nationally.

Median

$325.10

Average

$447.90

Std Dev

$485.68

Max

$5,930.96

Percentile Distribution (Cost per Claim)

p10
$38.29
p25
$60.66
Median
$325.10
p75
$697.28
p90
$1,042.53
p95
$1,361.38
p99
$1,974.73

50% of providers bill between $60.66 and $697.28 per claim for this code.

90% bill between $38.29 and $1,042.53.

Top 1% bill above $1,974.73.

About This Procedure

HCPCS code 78815 (PET imaging for limited area) was billed by 1K providers across 807K claims, totaling $387.2M in Medicaid payments from 2018–2024. This code was used for 724K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$325.10

Providers Billing

1K

National Spending

$387.2M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 78815

#ProviderTotal Paid
1Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$10.1M
2City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$8.2M
3Stanford Health Care

Stanford, CA · General Acute Care Hospital

$7.5M
41851347272$7.2M
5Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$6.8M
61588954929$5.2M
7Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$5.0M
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$4.9M
91558575746$4.4M
10University Of California Irvine

Orange, CA · General Acute Care Hospital

$4.4M
111538157508$4.2M
12Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$3.9M
13Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$3.8M
14Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$3.4M
151780107797$3.4M
16Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$3.4M
17The Queens Medical Center

Honolulu, HI · Psychiatric Unit

$3.3M
18United Medical Imaging Healthcare, Inc.

Los Angeles, CA · Clinic/Center, Radiology

$3.2M
19Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$3.1M
20Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$3.0M

Showing top 20 of 1K providers billing this code